Organization Active NPI

Bristol Drug Co., Inc

  • Long Term Care Pharmacy
  • Pomona, CA
National Provider Identifier
1295514412
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BRISTOL DRUG CO., INC
Doing business as
Artesia Medical Pharmacy
Practice address
160 E Artesia St Ste 135
Pomona, CA 91767-2924
Phone
(909) 623-0551
Fax
(909) 865-2981
NPI assigned
Sep 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Lim
Title
Owner
Phone
(909) 623-0551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

160 E Artesia St Ste 135
Pomona, CA 91767-2924

Mailing address

160 E Artesia St Ste 135
Pomona, CA 91767-2924
Phone (909) 623-0551

Other names 1

  • Artesia Medical Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bristol Drug Co Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

160 E Artesia St
Ste 135
Pomona, CA 91767
Phone (909) 623-0551

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1295514412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E ARTESIA ST STE 135",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672924",
            "telephone_number": "909-623-0551",
            "fax_number": "909-865-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ARTESIA ST STE 135",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672924",
            "telephone_number": "909-623-0551",
            "fax_number": "909-865-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL DRUG CO., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-23",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-623-0551"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Artesia Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.